Individual provider Active NPI

Basilio G Lugones, ARNP

  • Primary Care Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1548802564
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11004487 Issued in FL
Practice address
17978 NW 59TH Ave Unit 102
Hialeah, FL 33015-5179
Phone
(754) 281-0830
NPI assigned
Oct 10, 2019
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11004487 FL Primary

Addresses

Primary practice location

17978 NW 59TH Ave Unit 102
Hialeah, FL 33015-5179

Mailing address

17978 NW 59TH Ave Unit 102
Hialeah, FL 33015-5179
Phone (754) 281-0830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11004487FLMDPrimary Care Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1548802564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17978 NW 59TH AVE UNIT 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155179",
            "telephone_number": "754-281-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17978 NW 59TH AVE UNIT 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155179",
            "telephone_number": "754-281-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGONES",
        "first_name": "BASILIO",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11004487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.